A list of the most recent deficiencies for Mclarney Healthcare. The list is based on the information provided by CMS from both standard inspections and from complaints filed by residents.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-10-04 | 2023-11-16 | N |
| Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | Health | 2023-10-04 | 2023-11-16 | N |
| Assess the resident when there is a significant change in condition | Health | 2023-10-04 | 2023-11-16 | N |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2023-10-04 | 2023-11-16 | N |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2023-10-04 | 2023-11-16 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2023-10-04 | 2023-11-16 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-10-04 | 2023-11-16 | N |
| Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | Health | 2023-10-04 | 2023-11-16 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-10-04 | 2023-11-16 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2023-10-04 | 2023-11-16 | N |
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2023-10-04 | 2023-11-16 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2023-10-04 | 2023-11-16 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-10-04 | 2023-11-16 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-10-04 | 2023-11-16 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-10-04 | 2023-11-16 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2023-10-04 | 2023-11-16 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2023-10-04 | 2023-11-16 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-10-04 | 2023-11-16 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-10-04 | 2023-11-16 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-10-04 | 2023-11-16 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2023-10-04 | 2023-11-16 | N |
| Meet other general requirements. | Fire Safety | 2023-10-04 | 2023-11-16 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2022-07-12 | 2022-08-10 | Y |
| Ensure that residents are fully informed and understand their health status, care and treatments. | Health | 2021-12-15 | 2022-01-29 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2020-01-30 | 2020-03-06 | N |
| Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | Health | 2020-01-30 | 2020-03-06 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2020-01-30 | 2020-03-06 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2020-01-30 | 2020-03-06 | N |
| Provide and implement an infection prevention and control program. | Health | 2020-01-30 | 2020-03-06 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2020-01-30 | 2020-03-06 | N |
| Use approved construction type or materials. | Fire Safety | 2020-01-30 | 2020-03-06 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2020-01-30 | 2020-03-06 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2020-01-30 | 2020-03-06 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2020-01-30 | 2020-03-06 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2020-01-30 | 2020-03-06 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2020-01-30 | 2020-03-06 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2020-01-30 | 2020-03-06 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2020-01-30 | 2020-03-06 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2020-01-30 | 2020-03-06 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2019-01-24 | 2019-03-02 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2019-01-24 | 2019-03-02 | N |
| Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. | Health | 2019-01-24 | 2019-03-02 | N |
| Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | Health | 2019-01-24 | 2019-03-02 | N |
| Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. | Health | 2019-01-24 | 2019-03-02 | N |
| Ensure that residents are free from significant medication errors. | Health | 2019-01-24 | 2019-03-02 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-01-24 | 2019-03-02 | N |
| Use approved construction type or materials. | Fire Safety | 2019-01-24 | 2019-03-02 | N |
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2019-01-24 | 2019-03-02 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2019-01-24 | 2019-03-02 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2019-01-24 | 2019-03-02 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2019-01-24 | 2019-03-02 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2019-01-24 | 2019-03-02 | N |
